Claims Processor

You’re **self-driven **and **organized **and can **adapt easily to change**.

You’re **detail oriented, decisive **and **strive **to **improve processes.**

You bring** medical or dental experience **with you, insurance and/or clinical.

If this sounds like you, then we’d love to hear from you

**What’s the ask?**

Reporting to the Supervisor, TPA Claims, the Claims Processor will_ _be responsible for claims adjudication, estimates and enquiries, to ensure the clients needs are met efficiently and accurately.

More specifically, the Claims Processor will:

- Assess and process standard and complex claims in accordance with company’s service standards, procedures, and insurance policy guidelines
- Analyze estimates and prepare approval and rejection letters
- Assist senior team in handling complicated cases, complaint cases and insurer audits
- Process stop payments, system adjustments, reissue cheques and process cancellation cheques for claims;
- Obtain additional information needed to assess a claim - either through the provider or the subscriber;
- Assist in identification and actualization of cost containment opportunities
- Manage cases
- Handle claim enquiries ranging from basic to complex in nature
- Support other business initiatives/projects as assigned

**What does it take?**
- Medical and/or dental knowledge and experience is required
- Very good analytical, judgement and comprehension skills
- Accuracy driven and detail oriented
- Ability to work under pressure
- Excellent problem solving and decision-making skills
- Ability to work in a team as well as independently
- Excellent customer service skills and professionalism
- Bilingual in English and French, spoken and written, a very strong asset

***Who we are**

Canadian-owned and operated, Cowan Insurance Group is a leading independent insurance brokerage and consulting operation, providing real value to our clients. With close to 500 employees operating out of 10 locations across Canada, we’re proud to have been named one of Canada’s Best Managed Companies since 2012.

We partner with leading national and international insurance companies to:

- deliver insurance and risk management solutions to businesses, organizations and individuals
- advise on and create retirement, group benefits, disability management and international benefits programs for employee groups.

We also offer wealth and asset management as well as financial and succession planning services to individuals, and specialize in property, casualty and credit insurance.

**What sets us apart?**

**Be in good company**

Integrity matters. It drives our award-winning workplace culture and fuels our collective desire to help our clients, employees, and communities thrive.

**Challenge your thinking**

You're valued for your passion, drive and creativity. The pace is fast, but the work is meaningful, interesting, and complex, just the way you like it.

**Grow together**

We believe in your potential. If you’re looking to develop your expertise with learning opportunities and mentoring, we’ll make that happen.

**Benefits and perks**
- Competitive salary
- Participate in our comprehensive benefits plan on day one — no waiting period
- Company-matched Retirement Savings Plan
- Company-paid training and development courses
- Community involvement

**Are you interested?**

Send in your cover letter and resume and share your unique story with us.

While we appreciate the interest of all applicants, we will contact only those selected for interviews. If you are an applicant with disabilities and require accommodations, please let us know at the time of our contact so that we may arrange for their provision.